Individual
DR. ELIZABETH H COOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4803 WARD RD, WHEAT RIDGE, CO 80033-1902
(303) 338-4545
Mailing address
4803 WARD RD, WHEAT RIDGE, CO 80033-1902
(303) 338-4545
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
DR.0056663
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
027336
KAISER COMMERCIAL NUMBER
CO
Enumeration date
04/02/2013
Last updated
09/12/2016
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